青少年抑郁症发展的气质与症状途径。

IF 3.6
Luciano G Dolcini-Catania, Michelle L Byrne, Sarah Whittle, Orli Schwartz, Julian G Simmons, Nicholas B Allen
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引用次数: 6

摘要

本研究探讨了青春期早期内在化和外在化症状与随后发展为重度抑郁症之间的关系。气质在使个体倾向于这些特定途径中所起的作用也被研究了。使用大约12岁时的气质来产生243名(124名女性)参与者的风险富集子样本。数据在6-7年的时间里分为四波收集,大致对应于13岁、15岁、17岁和19岁。在第一波之前,基于当前或既往的抑郁、药物使用或饮食失调,参与者被排除在研究之外。Logistic回归分析显示,内化症状和社会外化问题是抑郁症发展的重要风险途径。高气质负性、高隶属关系、低努力控制和低紧急程度是内化症状通路中抑郁的显著易感因素,而低努力控制是唯一的社会外化问题通路中抑郁的显著预测因子。因此,高水平的努力控制在两种症状途径中都是抑郁症发展的保护因素,这表明它可能是预防策略的重要目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Temperament and Symptom Pathways to the Development of Adolescent Depression.

This study examined the associations between internalizing and externalizing symptoms during early adolescence and the subsequent development of Major Depressive Disorder. The role that temperament plays in predisposing individuals to these particular pathways was also examined. Temperament at approximately age 12 was used to produce a risk-enriched subsample of 243 (124 female) participants. Data was collected in four waves over 6-7 years roughly corresponding to ages 13, 15, 17 and 19. Participants were excluded from the study, prior to the first wave, based on current or prior depressive, substance-use, or eating disorders. Logistic regression analyses revealed that internalizing symptoms and social-externalizing problems were significant risk pathways to the development of depression. Moreover, mediation analyses revealed that high temperamental negative emotionality, high affiliation, low effortful control, and low surgency were significant vulnerability factors for depression via the internalizing symptom pathway, whereas low effortful control was the only significant predictor for depression via the social-externalizing problem pathway. As such, high levels of effortful control acted as a protective factor for the development of depression across both symptom pathways, suggesting that is may be an important target for prevention strategies.

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来源期刊
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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